Organization Active NPI

Dodge Center Chiropractic Office, P.a.

  • Chiropractor
  • Dodge Center, MN
National Provider Identifier
1750436598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4748 Issued in MN
Legal business name
DODGE CENTER CHIROPRACTIC OFFICE, P.A.
Practice address
405 2ND Ave NW
Dodge Center, MN 55927
Phone
(507) 374-6742
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew Thomas Klein, D.C.NPI 1730123530
Title
President
Phone
(507) 374-6742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4748 MN Primary

Addresses

Primary practice location

405 2ND Ave NW
Dodge Center, MN 55927

Mailing address

PO Box 298
Dodge Center, MN 55927-0298
Phone (507) 374-6742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000105 MN Part B Supplier - Clinic/Group Practice 7214939180 Receives reassigned benefits from 1 practitioner
Practice locations: Dodge Center, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2039906Dodge Center Chiropractic Office PA405 2ND Avenue NW, Dodge Center, MN 55927Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory

Locations

405 2nd Ave NW
Dodge Center, MN 55927
Phone (507) 374-6742

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750436598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "559270298",
            "telephone_number": "507-374-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 2ND AVE NW",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "55927",
            "telephone_number": "507-374-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODGE CENTER CHIROPRACTIC OFFICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-374-6742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.